Rotational alignment apparatus and methods for interchangeable loupe telescope(s) are provided. Some embodiments include an indexing ring including a projection. The ring is fixed to the telescope upon rotational alignment of the telescope. The alignment may involve use of a laser and test fixture. The projection mates with a corresponding indexing notch of a loupe anchoring device. Loupes may comprise one or more anchor assemblies, and one or more interchangeable telescope assemblies. The interchangeable telescope assemblies are held to the anchor assemblies by magnetic attraction between one or more magnets and/or one or more magnetic components affixed to corresponding surfaces of the corresponding assemblies. Mating of the projection with the notch ensures appropriate relative rotational alignment of the assemblies.